Independent Representative Qualification Questionnare

Luxx Linens Rep - Qualification Questionnaire

Thanks for your interest in becoming a Luxx Linens Independent Representative. In order to determine if there is a potential fit, please complete the following Qualification Questionnaire. Once you have completed the Questionnaire and clicked "Submit," you will receive confirmation of your submission, and we will be in touch within the next few days to determine the next steps.

Name*

FirstLast

Email*

Address*

Street AddressAddress Line 2CityStateZIP Code

Phone*

Mobile/Cell Phone*

Are you legally able to provide services in the United States?*

Yes

No

I'm not sure

Are you 18 years of age or older?*

Yes

No

Are you willing to submit to a national criminal background check through our 3rd party background check provider?*

Yes

No

Are you a veteran?*

Yes

No

What is the highest level of education you have attained?*

Some High School

High School Diploma

Some College

Associate's Degree

Bachelor's Degree

Graduate Degree

Do you have a Mac or Windows PC or laptop available for business use that you can use for business?*

I have a Mac Laptop

I have a Mac Computer

I have a Windows Laptop

I have a Windows PC Computer

I do not have a Mac or Windows PC or laptop available for business use

Do you have access to internet service with your computer?

Yes, I have high speed internet at home.

Yes, I have access to high speed internet service through a convenient location (library, coffee shop, etc)

Yes, I can create a "hot spot" through my mobile service provider

No, I do not have internet access

How many hours per week do you intend to provide services to Luxx Linens?*

Less than 15

15 to 20

20 to 25

25 to 30

More than 30

What is your desired monthly income as a Luxx Linens Independent Rep?*

Do you have previous experience in sales and marketing?*

Yes

No

Do you have previous experience as an Independent Rep working from home?*

Yes

No

Indicate any areas in which you have had previous work experience.*

Business-to-Business or Corporate Sales

Inbound Telephone Sales

Direct-to-Consumer Sales

Fundraising Sales

Outbound Telephone Sales

Retail Sales

Door-to-Door Sales

Cold-Calling | Appointment Setting

Internet / Web Based Sales

I have no sales experience

Other

Please share with us some information that will help you stand out among all the applications Luxx Linens receives. Think of this as a cover letter to your resume, or, if you do not have a resume, your opportunity to share with us what would be on your resume, if you had one.*